Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,362.17 / $3,827.23 / $14,482.00	Facility		$2,362.17	$3,827.23	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,309.88 / $2,362.17 / $6,636.19	Professional		$1,309.88	$2,362.17	$6,636.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,080.00 / $17,505.00 / $23,937.00	Facility		$12,080.00	$17,505.00	$23,937.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,868.26 / $4,230.76 / $11,095.72	Professional		$1,868.26	$4,230.76	$11,095.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,779.54 / $5,585.27 / $9,008.84	Facility		$4,779.54	$5,585.27	$9,008.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,231.88 / $5,769.09 / $7,667.03	Professional		$3,231.88	$5,769.09	$7,667.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,871.09 / $2,956.07 / $4,157.53	Facility		$1,871.09	$2,956.07	$4,157.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,155.17 / $3,583.00 / $7,700.00	Facility		$2,155.17	$3,583.00	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,244.21 / $5,638.53 / $10,972.24	Professional		$2,244.21	$5,638.53	$10,972.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.52 / $1,696.60 / $4,267.06	Professional		$145.52	$1,696.60	$4,267.06
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $1,871.09 / $2,956.07 / $4,157.53	Facility		$1,871.09	$2,956.07	$4,157.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,840.20 / $5,929.86 / $7,756.26	Professional		$3,840.20	$5,929.86	$7,756.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $58,762.08 / $58,762.08 / $58,762.08	Facility		$58,762.08	$58,762.08	$58,762.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,311.65 / $9,304.50 / $23,779.00	Professional		$3,311.65	$9,304.50	$23,779.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9,725.25 / $9,725.25 / $9,725.25	Professional		$9,725.25	$9,725.25	$9,725.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8,690.36 / $12,927.56 / $12,927.56	Professional		$8,690.36	$12,927.56	$12,927.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,233.08 / $5,673.72 / $9,131.93	Professional		$2,233.08	$5,673.72	$9,131.93